摘要
目的分析良性前列腺增生伴发膀胱结石不同治疗方法的临床效果。方法选取该院2016年7月—2017年8月接诊的良性前列腺增生伴发膀胱结石患者96例作为研究对象,以治疗方式的不同患者随机分为A组(开放手术组)、B组(气压碎石组)、C组(钬激光碎石组),各32例。A组(开放手术组)、B组(气压碎石组)、C组(激光碎石组)分别进行手术,术后分别应用常规药物治疗,比较3组患者的术中情况及术后指标。结果 A组(开放手术组)的取石时间(25.9±10.3)min、手术时间(85.6±12.3)min明显优于B(气压碎石组)(34.2±11.3)min、(134.5±22.9)mm,C(钬激光碎石组)(40.6±6.9)min、(135.9±20.7)mm两组,差异有统计学意义(P<0.05),A组患者的术中出血量(234±33)mL、术后最大尿流率(13.55±2.21)mL/L、住院时间(12.9±3.9)d、术后膀胱冲洗(130.6±34.4)h及导尿管滞留时间(12.9±2.9)d均差于B组患者与C组患者,差异有统计学意义(P<0.05),C组取石时间(40.6±6.9)min明显长于A、B两组,差异有统计学意义(P<0.05)。结论在分析良性前列腺增生伴发膀胱结石不同治疗方法的临床效果中,气压弹道碎石手术与钬激光碎石手术联合前列腺电切术对比开放手术,前者有效避免了手术带来的创伤性,减少了术中出血量,缩短了手术的恢复时间,值得在临床上推广应用。
Objective To analyze the clinical effect of different treatment methods of benign prostatic hyperplasia with bladder stones. Methods 96 cases of patients with benign prostatic hyperplasia with bladder stone admitted and treated in our hospital from July 2016 to August 2017 were selected and randomly divided into two groups with 32 cases in each, the group A used the open surgry group, the group B used the pneumatic lithotripsy, while the group C used the holmium laser lithotripsy, and the routine drugs were used for treatment, and the intraoperative condition and postoperative indexes were compared between the three groups. Results The stone removal time and operation time in the group A were obviously better than those in the group B and in the group C [（25.9±10.3）min,（g5.6±12.3）min vs （34.2±ll.3）min,（134.5±22.9）mm,（40.6±6.9）min, （ 135.9±20.7）rain,the different was statistically significant（P〈0.05）], and the intraoperative bleeding amount, postoperative maximum urinm7 flow rate, length of stay, postoperative bladder irrigation, retention time of urethral catheter in the group A were respectively （234±33）mL,（13.55±2.21）mL/L,（12.9±3.9）d, （130.6±34.4）h,（12.9±2.9）d,the different was statistically signifcant （P〈0.05） , and the stone removal time in the group C was （ 40.6±6.9）rain, which was obviously longer than that in the group A and in the group B,the different was statisti cally significant （P〈0.05）. Conclusion The pneumatic ballistic lithotripsy surgery can effectively avoid the wound of operation, reduce the intraoperative bleeding amount, shorten the recovery time of surgery, and it is worth promotion and application.
作者
范玉录
田传让
孟庆明
FAN Yu-lu;TIAN Chuan-rang;MENG Qing-ming(First Department of Surgery,Linyi Hospital of TCM,Linyi,Shandong Province,251500 China)
出处
《系统医学》
2018年第18期91-93,共3页
Systems Medicine
关键词
良性前列腺增生
膀胱结石
治疗方法
Benign prostatic hyperplasia
Bladder stones
Treatment method
